Individual
JOHN A AZZATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1513 N HOWE ST STE 4, SOUTHPORT, NC 28461-2770
(910) 805-5578
Mailing address
PO BOX 11515, SOUTHPORT, NC 28461-1515
(910) 454-8030
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
20698
NC
207X00000X
Orthopaedic Surgery Physician
Primary
20698
NC
208D00000X
General Practice Physician
20698
NC
2251X0800X
Orthopedic Physical Therapist
20698
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8912440
—
NC
Enumeration date
07/17/2006
Last updated
08/26/2021
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